Organization Name: | ATLANTIC WOMEN'S HEALTHCARE P.C. |
NPI Number: | 1245412881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK A DEMASI (DOCTOR) |
Mailing Address: | 653 S White Horse Pike Hammonton |
State: | NJ US |
Postal Code: | 080372013 |
Phone Number: | 6095617787 |
Fax Number: | 6095617790 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 25MB05372900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |